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General NPI Number Information
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NPI Number | 1205644812
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Entity Type | Individual
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Provider Name | REED TOMPKINS
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Gender |
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Dates
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Enumeration Date | 12/28/2024
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 17612 LACEY BLVD
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City | LEMOORE
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State | CA
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Zip | 93245-9503
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Country | US
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Telephone | 559-904-5887
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Fax |
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Provider Business Mailing Address
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Address Line | 17612 LACEY BLVD
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City | LEMOORE
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State | CA
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Zip | 93245-9503
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Country | US
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Telephone | 559-904-5887
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 14623
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License Number State | TX
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